Doctor Name: | JANET AMMONS |
NPI Number: | 1033536438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 38523 |
Business Practice Address: | 1306 N Park Street Ext Mullins, SC - 295741616 |
Business Phone Number: | 8436010123 |
Business Fax Number: | 8436614774 |
Mailing Address: | 1306 N Park Street Ext, MULLINS |
State: | SC |
Postal Code: | 295741616 |
Phone Number: | 8436010123 |
Fax Number: | 8436614774 |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 38523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |